OMM - random

Question 1

a patient came in with eye pain and you suspect that this pain is generated by a myofascial trigger point. where are you going to go searching for a trigger point?

Answer 1

1. orbicularis oris (duhh)
2. splenius cervicis
3. occipitalis
4. sternal division of the SCM
5. trapezius

Question 2

Patient’s chief complaint = high pitching ringing noise.

you know that this is not because of an internal rotation of his temporal bone because you palpated his CRI and all is normal.

so now you want to consider trigger points as the cause of his tinnitis.

where you going to find em?

Answer 2

1. deep portion of Masseter m.
2. clavicular division of SCM
3. Medial Pterygoid
4. Occipitalis

same for ear pain and diminished hearing

Question 3

nose pain- trigger point

Answer 3

orbicularis oris

Question 4

Otitis Media caused by a trigger point in ____ m

Answer 4

medial pterygoid. this is the trigger point for the eustachian tube

Question 5

patient has difficulty swallowing and complains of throat pain. all infectious causes, neoplastic causes, etc have been ruled out. she may have a trigger point in what two muscles that may be causing her symptoms?

Answer 5

1. medial pterygoid

2. digastric

Question 6

Students are complaining of nasal stuffiness because its flu season. but you realize that their nasal stuffiness is due to a trigger point in one of these three muscles. what are they?

ps. these are the same for maxillary sinus pain

Answer 6

1. lateral pterygoid
2. masseter
3. sternal division of SCM ( also a trigger point for eye symptoms)

Question 7

external rotation of the temporal bone will produce which type of tinnitis?

Answer 7

low pitched roar (patent eustachian tube)

Question 8

Internal rotation of the temporal bone produces what type of tinnitis?

Answer 8

high pitched tinnitus (closed eustachian tube) and is often associated with chronic or recurrent otitis media

Question 9

You have a patient who has chronic serous otitis media and you want to perform the gallbreath technique on them. the traction applied in this technique impacts what muscle of mastication.?

this muscle’s fascia is continuous with that of _______ muscle which allows for the pumping action on the eustachian tube.

Answer 9

the traction applied in gallbreath technique impacts the medial pterygoid muscle
and its fascia is continuous with tensor velli palatini m. which allows for the pumping action of the eustachian tube

Question 10

the sympathetics emanate from t1-t4 levels and are distributed to the ENT region via what system

Answer 10

vertebral basilar arterial tree and carotid system

Question 11

the sympathetics emanate from t1-t4 levels and are distributed to the ENT region via what system

Answer 11

hypersympatheticotonia - also vasoconstriction

a decrease in skin turgor = late sign of dehydration (skin tenting)